| Juniper Psychology, Pllc | |
|
5010 E Warner Rd Ste 213 Phoenix AZ 85044-3374 | |
| (602) 708-0840 | |
| Not Available |
| Full Name | Juniper Psychology, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 5010 E Warner Rd Ste 213, Phoenix, Arizona |
| Authorized Official Name and Position | Vitae Felix (PSYCHOLOGIST) |
| Authorized Official Contact | 6027080840 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Juniper Psychology, Pllc 5010 E Warner Rd Ste 213 Phoenix AZ 85044-3374 Ph: (602) 708-0840 | Juniper Psychology, Pllc 5010 E Warner Rd Ste 213 Phoenix AZ 85044-3374 Ph: (602) 708-0840 |
| NPI Number | 1184280950 |
|---|---|
| Provider Enumeration Date | 05/16/2019 |
| Last Update Date | 08/02/2019 |
| Medicare PECOS PAC ID | 1951638006 |
|---|---|
| Medicare Enrollment ID | O20190812003008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184280950 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Vitae Felix |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487217584 PECOS PAC ID: 2860729910 Enrollment ID: I20190812003175 |
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